NCLEX-PN Safety and Infection Control Exam Prep Questions And Answers
(202472025)
The home health nurse is caring for a client who is identified as high risk for falls. What
observations would indicate a therapeutic response to home fall prevention education?
1. Installs a grab bar in the tub
2. Turns night lights on at bedtime
3. Only use assistive devices when leaving home.
4. Goes barefoot while in the home.
5. Uses throw rugs in walking areas to prevent slipping.
Select all - ✔✔1 & 2
Placing a grab bar in a slippery tub can assist the client in getting into and out of tub. Turning on
night lights at night ensures that the client can navigate safely, this reducing the risk of falls.
A nurse is caring for a client diagnosed with the Ebola virus who is experiencing vomiting and
diarrhea. What personal protective equipment should be worn by the nurse while providing care
to this client?
1. Single-use impermeable gown
2. Powered Air Purifying Respirator (PAPR) or N95 respirator.
3. One pair of sterile gloves
4. Single-use boot covers
5. Single-use apron
Select all - ✔✔1, 2, 4, 5
The nurse should wear a single-use (disposable) impermeable gown OR a single-use impermeable
coverall. Either a PAPR or a disposable. NOSH-certified N95 respirator should be worn to reduce
the risk of contamination in the case of an emergency situation where a potentially aerosol-
generating procedure would be performed. The PAPR reduces the risk of self-contamination while
providing client care, but the N95 respirator is less likely bulky. If the N95 respirator is selected
for use, nurses should be extremely careful to make sure that they do not accidentally touch their
faces under the face shield during client care. Disposable boot covers should be worn and should
extend to at least mid-calf. Some agencies may add the single use shoe covers over the boot covers
to reduce the risk of contaminating the underlying shoes.
,When disposing of waste in a client's room, the nurse would place which items in a biohazard red
bag?
1. Chest drainage unit
2. Doxorubicin IV bag and tubing
3. Staples removed from an abdominal incision
4. Tramadol 50 mg tablet prescribed but refused by client.
5. Soiled dressing
6. Paper trash with identifying client information
Select all - ✔✔1 & 5
Chest drainage units should be capped and placed in a large red biohazard bag for disposal.
Dressings soiled with human waste, blood or body fluids should be disposed of in a red biohazard
bag.
The nurse is assessing the client's blood pressure using an electronic blood pressure machine and
notes that the blood pressure reading is much higher than it has been since admission. The client
denies history of hypertension. What action should the nurse take?
1. Call the primary healthcare provider and report the elevated blood pressure.
2. Check the blood pressure again in 4 hours and compare to the current blood pressure.
3. Re-check the blood pressure using a manual blood pressure cuff
4. Call the nursing supervisor and prepare for a possible hypertensive emergency. - ✔✔3
Since the client does not have a history of hypertension and has not had elevated blood pressure
since admission, the nurse should question the accuracy of the electronic blood pressure machine.
Therefore, the nurse should re-check the BP using a manual cuff to determine if the high blood
pressure reading was accurate.
A farm worker comes into the clinic reporting headache, dizziness, and muscle twitching after
working in the fields. What condition does the nurse suspect?
1. Pesticide exposure
2. Heat stroke
3. Anthrax poisoning
, 4. Gastroenteritis - ✔✔1
These are symptoms of pesticide exposure when combined with the details given of coming from
the fields. Death can result from severe acute pesticide poisoning.
A nurse is working with community officials to decrease the incidence of violence in the
community. Which primary preventive measures might the nurse suggest?
1. Provide a safe haven for victims of violence
2. Provide educational programs about types of violence
3. Form a neighborhood watch program
4. Develop a media campaign identifying risk factors of potential abuse.
5. Provide for the immediate removal of a victim of violence from the home.
Select all - ✔✔2, 3, 4
These are all appropriate interventions for the nurse to suggest to the community The key is
prevention. The nurse is teaching ways to prevent violence before it occurs. Primary prevention is
true prevention.
The nurse is reinforcing information about car accident prevention to a group of high school
students. Who would the nurse include as the highest risk for a motor vehicle crash (MVC)?
1. Males who have just turned 19 years of age.
2. Drivers who have recently acquired a driver's license.
3. A group of students that carpool to the senior prom
4. Female students who drive to weekly football games - ✔✔2.
According to the Centers for Disease Control and Prevention (CDC), crash risk is particularly high
during the first year the teenagers are eligible to drive. Though teenagers who are 19 years old,
carpooling to the senior prom, and driving to weekly football games are also at risk for an MVC,
they are not the highest-risk n teenage group.
(202472025)
The home health nurse is caring for a client who is identified as high risk for falls. What
observations would indicate a therapeutic response to home fall prevention education?
1. Installs a grab bar in the tub
2. Turns night lights on at bedtime
3. Only use assistive devices when leaving home.
4. Goes barefoot while in the home.
5. Uses throw rugs in walking areas to prevent slipping.
Select all - ✔✔1 & 2
Placing a grab bar in a slippery tub can assist the client in getting into and out of tub. Turning on
night lights at night ensures that the client can navigate safely, this reducing the risk of falls.
A nurse is caring for a client diagnosed with the Ebola virus who is experiencing vomiting and
diarrhea. What personal protective equipment should be worn by the nurse while providing care
to this client?
1. Single-use impermeable gown
2. Powered Air Purifying Respirator (PAPR) or N95 respirator.
3. One pair of sterile gloves
4. Single-use boot covers
5. Single-use apron
Select all - ✔✔1, 2, 4, 5
The nurse should wear a single-use (disposable) impermeable gown OR a single-use impermeable
coverall. Either a PAPR or a disposable. NOSH-certified N95 respirator should be worn to reduce
the risk of contamination in the case of an emergency situation where a potentially aerosol-
generating procedure would be performed. The PAPR reduces the risk of self-contamination while
providing client care, but the N95 respirator is less likely bulky. If the N95 respirator is selected
for use, nurses should be extremely careful to make sure that they do not accidentally touch their
faces under the face shield during client care. Disposable boot covers should be worn and should
extend to at least mid-calf. Some agencies may add the single use shoe covers over the boot covers
to reduce the risk of contaminating the underlying shoes.
,When disposing of waste in a client's room, the nurse would place which items in a biohazard red
bag?
1. Chest drainage unit
2. Doxorubicin IV bag and tubing
3. Staples removed from an abdominal incision
4. Tramadol 50 mg tablet prescribed but refused by client.
5. Soiled dressing
6. Paper trash with identifying client information
Select all - ✔✔1 & 5
Chest drainage units should be capped and placed in a large red biohazard bag for disposal.
Dressings soiled with human waste, blood or body fluids should be disposed of in a red biohazard
bag.
The nurse is assessing the client's blood pressure using an electronic blood pressure machine and
notes that the blood pressure reading is much higher than it has been since admission. The client
denies history of hypertension. What action should the nurse take?
1. Call the primary healthcare provider and report the elevated blood pressure.
2. Check the blood pressure again in 4 hours and compare to the current blood pressure.
3. Re-check the blood pressure using a manual blood pressure cuff
4. Call the nursing supervisor and prepare for a possible hypertensive emergency. - ✔✔3
Since the client does not have a history of hypertension and has not had elevated blood pressure
since admission, the nurse should question the accuracy of the electronic blood pressure machine.
Therefore, the nurse should re-check the BP using a manual cuff to determine if the high blood
pressure reading was accurate.
A farm worker comes into the clinic reporting headache, dizziness, and muscle twitching after
working in the fields. What condition does the nurse suspect?
1. Pesticide exposure
2. Heat stroke
3. Anthrax poisoning
, 4. Gastroenteritis - ✔✔1
These are symptoms of pesticide exposure when combined with the details given of coming from
the fields. Death can result from severe acute pesticide poisoning.
A nurse is working with community officials to decrease the incidence of violence in the
community. Which primary preventive measures might the nurse suggest?
1. Provide a safe haven for victims of violence
2. Provide educational programs about types of violence
3. Form a neighborhood watch program
4. Develop a media campaign identifying risk factors of potential abuse.
5. Provide for the immediate removal of a victim of violence from the home.
Select all - ✔✔2, 3, 4
These are all appropriate interventions for the nurse to suggest to the community The key is
prevention. The nurse is teaching ways to prevent violence before it occurs. Primary prevention is
true prevention.
The nurse is reinforcing information about car accident prevention to a group of high school
students. Who would the nurse include as the highest risk for a motor vehicle crash (MVC)?
1. Males who have just turned 19 years of age.
2. Drivers who have recently acquired a driver's license.
3. A group of students that carpool to the senior prom
4. Female students who drive to weekly football games - ✔✔2.
According to the Centers for Disease Control and Prevention (CDC), crash risk is particularly high
during the first year the teenagers are eligible to drive. Though teenagers who are 19 years old,
carpooling to the senior prom, and driving to weekly football games are also at risk for an MVC,
they are not the highest-risk n teenage group.
